Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Timothy Blackwell, DO

Individual provider Dermatology Physician · NPI 1699356782

Timothy Blackwell, DO is a Dermatology in Newton, New Jersey. Graduated from Rowan University School of Osteopathic Medicine in 2021, 5 years ago. Practices with Premier Health Associates LLC, a 46-clinician group and accepts Medicare assignment. Licensed in New Jersey.

Years since qualifying
5
Trained at
Rowan University School of Osteopathic Medicine
Licensed in
NJ
In the registry since
2021
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

See every abbreviation used in this directory →

Practice location Address checks out

136 Woodside Ave
Newton, NJ 07860-2313
Phone: (973) 300-0222
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence 25MB12227900 (NJ)

Record details

NPI number1699356782
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorYes
NPI enumeratedApril 20, 2021
Last updated in NPPESJune 12, 2025
Certification dateJune 12, 2025
Mailing address136 Woodside Ave, Newton, NJ 07860-2313

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDERMATOLOGY
Medical schoolROWAN UNIVERSITY SCHOOL OF OSTEOPATHIC MEDICINE
Graduated 2021 (5 years in practice)
Group practice Premier Health Associates Llc — 46 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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